The holder whose full name is ISAACS, FRED H,come from TERRE HAUTE IN,hold the CSR-Dentist license(NO.12004692B) which status is Expired.
| Name | ISAACS, FRED H |
|---|---|
| License Number | 12004692B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |